{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T14:00:09Z","timestamp":1789999209421,"version":"4.0.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The postpartum period, critical for maternal health, is vulnerable to complications such as hemorrhage, infections, and hypertensive disorders, leading to significant maternal morbidity and mortality worldwide. In India, postpartum hemorrhage is a major cause of maternal deaths. Early identification and management of these complications can prevent long-term disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim and Objective:<\/jats:title>\n                    <jats:p>This study aimed to estimate the occurrence of early postpartum complications and their determinants among women at a tertiary care hospital in Jabalpur, Madhya Pradesh, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This hospital-based cross-sectional study was conducted at a tertiary care hospital in Jabalpur, Madhya Pradesh, India, from October 2023 to March 2024. During the study period, there were 4,996 postpartum admissions. Of these, 4,918 women provided informed consent and were enrolled in the study. Data were collected via a structured questionnaire covering demographic, antenatal, obstetric, and postpartum complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 4,918 postpartum women, 69.1% experienced complications, including pain\/fatigue (63.5%), perineal morbidities (41.3%), and infections (15.5%). Higher complication rates were seen in women younger than 25 or older than 35 years, with lower education, underweight, fewer than four antenatal care (ANC) visits, inadequate iron\/calcium supplementation, and short interpregnancy intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Strengthening postpartum care, especially for high-risk groups such as younger and older mothers, and those with inadequate ANC, is crucial. Interventions should include ensuring at least four ANC visits, adequate iron and calcium supplementation, proper nutrition, and education on birth spacing to reduce complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijcm.ijcm_580_25","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:02:49Z","timestamp":1789750969000},"page":"893-901","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Early Postpartum Complications and their Determinants: A Cross-Sectional Study from a Tertiary Care Hospital"],"prefix":"10.4103","volume":"51","author":[{"given":"Arvind","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunita","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Aprajita","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prince K.","family":"Lodhi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"R2-20260921","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3329\/jhpn.v30i2.11308","article-title":"Occurrence and determinants of postpartum maternal morbidities and disabilities among women in Matlab, Bangladesh","volume":"30","author":"Ferdous","year":"2012","journal-title":"J Health Popul Nutr"},{"key":"R4-20260921","doi-asserted-by":"crossref","first-page":"213","DOI":"10.3329\/jhpn.v30i2.11316","article-title":"Early postpartum maternal morbidity among rural women of Rajasthan, India: A community-based study","volume":"30","author":"Iyengar","year":"2012","journal-title":"J Health Popul Nutr"},{"key":"R5-20260921","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1186\/s12884-024-06827-y","article-title":"Prevalence of postpartum complications and associated factors among postpartum women in Uganda, a cross-sectional study","volume":"24","author":"Namutebi","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"R6-20260921","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1258\/td.2009.080347","article-title":"Prevalence of anaemia in the postpartum period: A study of a north In dian village","volume":"39","author":"Somdatta","year":"2009","journal-title":"Trop Doct"},{"key":"R7-20260921","first-page":"310","article-title":"Anaemia in pregnant, post partum and non pregnant women in Lak district, Daklak province of Vietnam","volume":"16","author":"Trinh","year":"2007","journal-title":"Asia Pac J Clin Nutr"},{"key":"R8-20260921","doi-asserted-by":"crossref","first-page":"226","DOI":"10.3329\/jhpn.v30i2.11318","article-title":"Consequences of maternal complications in women\u2019s lives in the first postpartum year: A prospective cohort study","volume":"30","author":"Iyengar","year":"2012","journal-title":"J Health Popul Nutr"},{"key":"R9-20260921","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.ijgo.2005.09.006","article-title":"Delivery-related complications and early postpartum morbidity in Dhaka, Bangladesh","volume":"91","author":"Fronczak","year":"2005","journal-title":"Int J Gynaecol Obs"},{"key":"R10-20260921","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1007\/s00277-011-1279-z","article-title":"Postpartum anemia: Definition, prevalence, causes, and consequences","volume":"90","author":"Milman","year":"2011","journal-title":"Ann Hematol"},{"key":"R11-20260921","doi-asserted-by":"crossref","first-page":"3103","DOI":"10.18203\/2320-1770.ijrcog20232955","article-title":"Burden of puerperal sepsis and its relation with maternal mortality","volume":"12","author":"Kaur","year":"2023","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R12-20260921","first-page":"QC04","article-title":"Severe puerperal sepsis\u2014a simmering menace","volume":"11","author":"Marwah","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"R14-20260921","first-page":"745","article-title":"Women\u2019s experience of lactational mastitis\u2014I have never felt worse","volume":"35","author":"Amir","year":"2006","journal-title":"Aust Fam Physician"}],"container-title":["Indian Journal of Community Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_580_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:02:12Z","timestamp":1789995732000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_580_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijcm.ijcm_580_25","relation":{},"ISSN":["0970-0218","1998-3581"],"issn-type":[{"value":"0970-0218","type":"print"},{"value":"1998-3581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-07-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}